<div data-role="content">
	<label for="oldpassword">Old Password:</label>
	<input type="password" name="oldpassword" id="oldpassword" value placeholder="Old Password...">

	<label for="newpassword1">New Password:</label>
	<input type="password" name="newpassword1" id="newpassword1" value placeholder="New Password...">
	<input type="password" name="newpassword2" id="newpassword2" value placeholder="Re-Enter New Password...">

	<input type="submit" id="submit_changepass" value="Change Your Password">
</div>